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HomeMy WebLinkAbout45423-Z vy Town of Southold 9/19/2021 P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42355 Date: 9/19/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1595 Wells Ave, Southold SCTM#: 473889 Sec/Block/Lot: 63.-7-17.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/28/2020 pursuant to which Building Permit No. 45423 dated 11/9/2020 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory in-ground swimming pool fenced to code as applied for. The certificate is issued to Bindman,Eleonar&Gottesdiener,Eli of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45423 4/22/2021 PLUMBERS CERTIFICATION DATED 0 �\ (-"*,\ fi Autho ' e S' nat e o�SaFFot��oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Go" SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45423 Date: 11/9/2020 Permission is hereby granted to: Rubin, Lawrence 1805 Jockey Creek Dr Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for. Must maintain minimum 10' side and rear yard setbacks. At premises located at: 1595 Wells Ave, Southold SCTM #473889 Sec/Block/Lot# 63.-7-17.4 Pursuant to application dated 10/28/2020 and approved by the Building Inspector. To expire on 5/11/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $300.00 Build Inspector 1 O�r SOU��,®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road jr Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® �®� roger.riche rt(Q-town.south old.ny.us couffm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Lawrence Rubin (Gottesdiener) Address: 1595 Wells Ave City: Southold St: New York Zip: 11971 Building Permit#: 45423 Section. 63 Block- 7 Lot 174 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: REP Electric License No: 46288-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat gas Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment, In ground swimming pool to include, bonding, control panel, 1-GFCI recpticle, 2-GFCI circuit breakers,5-low voltage pool lights, 1-singel recpticle, 1-pool pump,gas pool heater Notes: Inspector Signature: Date: April 22 2021 81-Cert Electrical Compliance Form.xls Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) 81'n' Jfil InI, �P-ynOta a11 residing at (Print property owner's name) /(MMailing Address) Soleg4 G� ! do hereby authorize (��9� � (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) ate) �t5:D/VDA 161(o(IMI (Print Owner's Name) Of SOUlyol * TOWN OF SOUTHOLD BUILDING DEPT: cou765-1802 :1 N-SPECTION [ ] FOUNDATION 1ST " [ ]- ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ,] FIREPLACE-& CHIMNEY [' ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ " ] FIRE RESISTANT PENETRATION [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR �o,*pf SOGIyo� * # TOWN-OF -SOUTHOLD BUILDING DEPT. �`y�ouKn ' 765-1802 4 INSPECTION 4� [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND = [ ] INSULATIOWCAULKING [ "] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION` [ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) Po- ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE �� �� INSPECTOR'?( ��lS�� �aOF SOUTyO/_ h� * # TOWN OF SOUTHOLD BUILDING DEPT. 'X 765-1802 = INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [v FINAL Pfflt,­� [ ] FIREPLACE &--CHIMNEY [ ] "FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION =[ ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: & W n-1,, ;a Q�56 Sccv� 0� k_, 0A40> v WCIA(a - �A DATE .220INSPECTOR # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1--ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SUL TION/CAU G• [ ] FRAMING /STRAPPING [ FINA [ ' ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]- FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) - [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y ---------------------------------- f Q r� FOUNDATION(2ND) z • C� ROUGH FRAMING& Ty PLUMBING • lf1 i INSULATION PER N.Y. STATE ENERGY CODE We�' PA ON FINAL 04 . 1 er ADDITIONAL COMMENTS of 'tao. oa r l� -71130 Wh c7al *lot qa a ' a I ELg4cj s m — • H d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans - TEL: (631) 76571802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 U Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved '20 Mail to: Disapproved a/c J Phone� I"��'�llL Expiration 120 Buil ' g I DPPLICATION FOR BUILDING PERMIT OCT 2 8 2020 q , 0� Date LA 2 ��yyg77� �g �, r�9 INSTRUCTIONS EE'LlIg DINIG D3�h"'.4.o aTT�j§§,ppVJipalfgli)TW, T,$°e completely filled in by typewriter or in ink and submitted to the Building Inspector'with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in,whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings,additions, or alterations or for removal'or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature o#applicant or name,if a corporation) 4,9 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �sCrl ei)t°r anj Ele©r1 Or �i rldmQn (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location- f land on which proposed work will be done: -L c �ovai House Number Street Hamlet County Tax Map No. 1000 Section V"iq—x0%;Bf"qc u' Lot ' ��i lM1rtJ(pT)I�?Cf li��1.��iY� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a.- Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work6gS k JLIKD ( escription)in cgo-oor)d 4. Estimated Cost Fee (To be paid•on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction,violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO FJ; d 0 -9Indmo-n S0V4./d 14. Names of Owner of premises Address Ave. Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYREQUIRED. ' b. Is this property within 300.feet-of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES N04/—N — IF O� * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF-- - --- ) •-- --- - -- - - - -- ----- -- - . Q being duly sworn,deposes and says that(s)he is the applicant (Name of' dividua signin ontract)above named, (S)He is the Contractor,Agent,Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this,application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. - SworT to before me this day of 0GMe2 2070 ;r o a Public LAUREN M.MCKISSICK Signa ure of Applicant Notary Public,State of New lid No.01 MC6342308 Qualified In Suffolk County Commission Expires May 23,202 i r WWA Scott A. Russell STOIKA SUPERVISOR � __- IWANAG)ENDENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTH OLD,NEW YORK 11971 y�O_` ' ' a� Town own of Sou th o l d . f CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES --�'I3IS I'lEt®IE�CI',' INVOLVE ..ANY-.®I�'' E FOLLOWINN:,_ f �. (CHECK ALL THAT APPLY) t: Its N A. Clearing, grubbing, gradin or stripping of land which affects more g� g g g PP g _ than 5,000 square feet of ground surface. { � B. Excavation or filling involving more than 200 cubic yards of material ' within any parcel or any contiguous area. i i C. Site preparation on slopes which exceed 10 feet vertical rise to i 100 feet of horizontal distance. .[] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal, erosion hazard area. .v4r I '[] : ti E- Site preparation within the orae-hundred-year floodplain as depicted on-FIRM-Map of any watercourse. ' F. -Installation of new or resurfaced impervious surfaces of 1,000 square ;1' feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes ` in-kind replacement of impervious surfaces. jk y you answered NO to all-of the questions above, STOP! Complete-the Applicant section below with your Name, Si_gnaturez Contact Information, Date & County Tax Map Number! __Chapter 236 does not apply to your project. -If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan': ; and a completed Check list Form to the Building Depariment.w]th,your Buildiiig'Perm]t Application. _ `APPLICANT:-(Property Owner,Design Professional,Agent,Contractor,Otherl S.C.T.M. RtQ District NAME: r `Section Block Lot FOR BlIi!_DING DEPARTir]EN'f UE QNLi' Contact Information: �\-_-��� � Reviewed By: _ Date _ Property Address / Location of Construction Works, _ _ _ _ _ -= - = — — fif so 01 Town Hq Am 54375 1 Main RoP 1 5 2021 Telephone(631)765-1802 cn (631)Me P.O.Box 1179 • Lo�r.ricbertd M 0 nv.us Rix _9535 Southold,NY 119714959 .' BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: lComlany Name: /7 Az Name: -J\ -7— License No.: Address- 5-- I/V Phone No.. . 63,( 76 ) &�3V JOBSITE INFORMATION: (*Indicates required infor ation) *Name: *Address: 5'__ Z/06�& 4-UOGz/l *Cross Street: Y *Phone No.: (a,?;/ -76 7 Permit No.: — q 2-3 Tax-Map District: 1000 Section:� Block: Lot: 17,_ *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Al-a-z (Please Circle All That Apply) *Is job ready for inspection: '�yo/ NO ough In Final *Do you need a Temp Certificate: YES 1(0, Temp Information(if needed) 'Service Size: I Phase 3Phase 100 150 200 300 350 400' Other 'New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 3-a3l)- 1 82-Request for Inspection Form N SURVEY OF PROPERTY CERTIFIED TO: AT SOUTHOLD ELI GOTTESDIENER AND ELEONOR BINDMAN TOWN OF SOUTHOLD FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC CMF SUFFOLK COUNTY, N.Y. - 1000-63-07-17.4 SCALE. 1 =30 00. AUGUST 11, 1997 OPEN SPACE 1p0. MAY 3, 1999 (FOUNDA770N) PL STAKE SET F OPEN SPACE APRIL 24, 2000 (FINAL) SEPTEMBER 28, 2020 OCTOBER 13, 2020 (CER77MA7IONS) AC PL STAKE SET dl�O�p q� c6, Y( CMF t S ST 0 ti c� C >• PROPANE TANK 10 Q p96 PATIO RICK �m 0• f�, �(� s Q CONC G A. PL STAKE SET LOT 3 6q� KEY r Q = REBAR 0 C ® = WELL Loll S = STAKE 9 = TEST HOLE p,0 • = PIPE ■ = MONUMENTW CMF P��OF NEJ., gC aS,ME = WETLAND FLAG V. Z ?-,>, cQj= UTILITY POLE OHO. ��'Z t; y} 1 _ LOT NUMBERS REFER TO MAP OF SOUTHOLD GARDENS'FILED IN THE SUFFOLK COUNTY CLERKS OFRCE ON MAY 7, 1979 AS FIL£NO. 6812. LIC. NO. 49618 " ANY ALTERAnON OR ADOlnoN 70 THIS SURVEY IS A NOCA710N OF SECTION 7209 OF WESTHILL ROAD AREA= 23,276 SO. FT. P P C. THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. (631 AX (631) 765-1797 ALL CL HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY/F P.O. 80X ; SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER STREET SIGNATURE APPEARS HEREON. 97--267 SOUTHOLD, N.Y. 71971 f 'BARGAIN AND SALE DEED WIT, COVE'NANT AGAINST GRANTOR'S ACTS'-(INDIVIDUAL OR CORrORATJO CAUTION-CrHIS A GREEMENT SHOULD BE PREPARED 13Y ANA'1-l',0RNhY AND REviEwr,,'jv-Bv ATeORKr-,YS 1?6R PURCHASER BEr,6RF"$1bN1NG. k— THIS,110ENTURE,made ihea$ day of August,-2020, Lawrence A-Rubin and Carolyn A.T inn,residing at 1595 Wells Avenue,Southold,NY,11971 'party-of the 111 t part,and I -Xs ElednOBindnia'iJ.4nd Eli Golt4sdienex,,-W1fe,a -j�r�ad&t Street,iiij lfuibiind,residing reet,Hyooklyn, NY,11215 party-'ofthe secon'd part; ITN SSSETH,' that the Varty of the first parfin consideration of$93Ab00.00 dollars.,lawful-money-qfthe Aji4ej States, paidby,the pAqy,c!f the second part,does,heteby grapt,aqd,rpfease,unto the pary"Of.'t'lle second Dart, i�e;hcinq or jtiqeessors and'd-ss igns of thp'p4rt y of the second part forever; A44`hq edrtaik-plot;piece or,-parcel of-land;'With the 6uildingaWndim obvelifentsthereol and-bein'gln the uate,, '&F,F,9 C H ED,U L j "A"A'1' r1G E)),_ 9PX,Tb AND MAD)b, A PAx2T AtAr"Ta wernises: 1595 Wefls,1Avenqe,,.Soufhojd,New,York,'1,1071 S T11 jDjstkJct:iQQ0"8pc(ion-, 063,09,ploFI&t17,00 Lou 017,M4 BEING ANDINTE NDF VTO IM the sanie,PrOuises described in adeed utade Gy,-P' ter;T.Rb pper ,and Wegdy,Sj-1opper-and recorded August, 13,1(101,in,Liher 12202 at page 971 in,theSuff6fic '66unty,6edt's Offke. 'P6GOTOEt2 with all right,title and,interest, if any,6fthe party of tbe,first p4-t'in andio any streets and yowls i'tbtjt6pg�be above d'0ScAbe'd'pTem ls,es to 'COG)72YER with the-,appW-tqjjanrxs acrd all the estate and rights of the party of the first part in and'to'said premises' TO HAVE IIND TOHOLD the prernises'horein granted ditto thepartyof fl!6-se6o6d}axt,the heirs of successors and-assigns of the party of the,second partforever. AND the party of-the first part, covenants that the party of'the-first,part has not done or,suffered aqything, Whereby the said premises have'been encumbered in any way whatever,except as,aforcsaid. NY.SBA's Residential Real I-AbAte Parols(9/00)02017 oftho 1,ex1sNexis Group, "a', ,.„ � -`p. Y€;�'^ �„' '`' .`•aha,., . j V ^Rti _,.. rz - FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE,NO, 7404-00896a SCHEOULE A-1 (Description,of the L,ah' h'br Tax Map ID(s): 1000.063,00.07.00-01"7,004 ALL that certain tot, plece,or parcel of land,lying and being;in'the•Town of Southold, County of Suffolk and State of New � 'York, known as.and,by Lot.4 as shown,on a certain map entltled,•'IMap,of"Southold"Gardens"and tiled'in the Offfce of the z Clerk,of,ffie Cbuntyof,Suffolk ora°May 7.'1979 as Map Numbr,6812, said lot,being bounded and described as follows: BEGINNING at a point on the Northeasterly line of Wells Avenue distant 50.00 feet Northwesterly'fr-9m the Int6rsection-of rN the.Northerly line,of WesfHill,koad-with tife' Northeasterly line of,WelIs Avenue,said point of beginning being Whet a the, divisjbn,11he,betv�een'Lots 4 and 3'intersect the Northeasterly line of Wells-Avenue; RUN,NINE THENCE from'said oinE of'be 1hraing aloe the- ortheasterl line of,Wells Avenue the`fo[lowing tyv4(2)- p B g Y t ` � o6uh5es and djsta0ces: `J.North,3Qdegrees 04-minutes 30 seporids West, 61`53-feet; 2. North M degrees 51 minutes 20"tdconds-.,West, 4103,00 feet-to a point; THENCE along the division,line between Lot 4 and,ah open spac'e•the following two(2)courses and-distances: 1. North 58 degrees 08 minutes 40 seconds East, 150,00 feet; 2. South 39 degrees,00=mjnutes 26,seconds East; 1.28;88 feet fo a point; THENCE,along,.a.,division line between Lots 4-and�',,�6uth 45,degrees_418 minutes 30 seconds Nest, 1,71;92 jet to a �r pointpri the Nbrth6asterly line of Wells,Avenua;the point qt place,of BEGINNING. w THl~ PdL'IGY TO,BE ISSUED under this coTMitrn'ent will,19;sure the title to such buildjn�6s and improvements on'the premises which'by,,law;conMltute:reai;property. Fdk-00 VVVAN61NO-6NLY: Together with alffhe elght,,title.and inkerest of the party of the first,part, of-in-and to the fad lying in the, street In fr;ont,of-and„adjpIhI ig said pfemis"es. END OF-SCHEDULE A 3 e conimi6ent for71tie Insurance Printed—06 24 20 Q 08:47 AM Schedule A•1 Description NY-rT-FHVii-01030.431004-SPS-1-20.7404.008066 .first part Will,receive-the"consideration for tbis'conveyance and will hold the right to"receive such corisidei`ation as a,trusi futld to be-applied frst'for'the purpo`s`e of payi`ttg tho-cst of the improvement and'-vvill.a J the same first to _ the pa�ii�erit of ti cost o the improvement before using any'y '. g y Part of"the total of the samefor,an ot4r.-purpose. 'The-woid'tftarty'`'sliall'be construed.as if itread "parties"-Whenever•the sense ofthis fkdehtu"e so r equires, TIVaE&S`W-HE00,Fi the per;tithe>first,part hag-4111 y dsteeuted this deed th dayrand year first Above-,written-, r 4, IN PRES`pvcY &'.Or, LavOft i4p A.Rubin Carolyn A.Yinn by LawrenceA,:Rubin as Attorney-J a-fact A�",9�01U 4 NT: Sita#e:offiTevv-York, H `Cnunty'v(4uffolk,County ) )n Elie,oR V, --d �' tr 'the ear��� aY of� � y _before,me, the uiidersigned,,,person`Oiy appeared �.awrerice,A:Rubin personally Known to me.or proved to me on the bas is of sati`s'factory-;evidence't0 be the -in tiividu',*s *hose name(s)is(are)-subs�cf�ibed to the withiri;instrurz�eiit and aeknovvledged to me°that'helshe/they exectitdd`thasame-in his%heritheir<capaaity("Ies);and that'byhWherltheir signature(s)--ori the instr,rirrient,"thc Individ ral(s),oi-the person upon behalf ofwhieh the individual(s)'acted, executed`the instrument. NotaryTiiblrc ' osEr r Dti"REsE NOTARY PbSUI4,STATE OF NEH YORK Registration No.01 DE5035117 Qualified Ip 661folk County MyCommission[xp{rAs'october 24,2022 a NY-SBA's-Residential ReaUstate Forms(9100)02017 Matthew bender&Co.,a member of the LexisNexis Group. ` r r¢ r //,A`�1 V f 4 OCCUPANCY OR USE IS UNLAWFUL APPR VSD A NOTED WITHOUT CERTIFICATE I DATE: 02 B.P:# 3 a�iu 1E -41A f g er OF OCCUPANCY EIvc�OSE POOL TO CODE FEE: �'�� BY: =,`'ly ,.ON COMPLETION NOTIFY,BUILDING DEPART NT AT E r- _ 6OREWATFf�"fib, 765-1802 -8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. � �a.1`(1 �Gc (l(� �►✓1 I�V1.G�� ELECTRICAL JeCOMPLY WITH ALL CODES OF ITISPECT�ON REQUIRED NEW YORK STATE AS REQUIRED AND I 'ONS OF Y n Tfl Z5q � BOARD ® i 'n ES T�- — RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, s �• `�S E# PRM, POL ,AL3 PR@PE Ty T? CWFOM ,70 N;Y. �RES,IDENZORP EDITION y►IA A.1 03.1 zo r C'tavrsw Poo L W ." 'lc rrc&csrcx a sw ' o sca�t;�sTee • f sto'o�c A oawrN �sgst�T �tiP cAWND wA.TCIt Z-M, .L U07 CX13 r V;�MIt TliC t7r+1'Tt QF T►rLT [xuvAT)0$4,W lPOU10 VATCA tXCM +�nx. c s".,+D sa[ oar t(►}. `':<r - �C fR e•r f.AT asr,Y�tar..t�atra�ga�is#�v�r.e-�,...�.. �,.. ..�_ +,�� '2�'`' !2►:�iA .. � t tlrcTFA osuoSAt at LWtTCo 1yS Z MO,��I�[.k�DwtP'rAn[T')tit;�t`.-d•�D1�' �' ` y '� ;e�'L s - ' Ax0 ilf"Cr of oc r C>1G. 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